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Identification of mechanisms enabling integrated care for patients with chronic diseases: a literature review.

van der Klauw D, Molema H, Grooten L, Vrijhoef H - Int J Integr Care (2014)

Bottom Line: We categorised approaches and interventions to achieve these objectives by strategy and clusters of 'mechanisms of integration': degree, patient centredness and normative aspects.The clarification of mechanisms to achieve objectives of integrated care as presented may be used as starting point for the development and refinement of integrated care programmes, including methodological grounding of their evaluation.Validation of the findings by a large panel of experts is suggested as recommendation to work towards a grounded framework.

View Article: PubMed Central - HTML - PubMed

Affiliation: TNO, P.O. 3005, 2301 DA Leiden, The Netherlands.

ABSTRACT

Introduction: Notwithstanding care for chronically ill patients requires a shift towards care that is well coordinated and focused on prevention and self-care, the concept of integrated care lacks specificity and clarity. This article presents a literature review to identify mechanisms for achieving integrated care objectives.

Theory and methods: Existing models often present a large variety of dimensions, archetypes and categories of integration without specifying them. Models and programmes describing integrated care for chronic diseases were reviewed. Data were extracted related to objectives and clusters of mechanisms of integration.

Results: Thirty-four studies presented four objectives: functional, organisational, professional and service integration. We categorised approaches and interventions to achieve these objectives by strategy and clusters of 'mechanisms of integration': degree, patient centredness and normative aspects.

Conclusions and discussion: The clarification of mechanisms to achieve objectives of integrated care as presented may be used as starting point for the development and refinement of integrated care programmes, including methodological grounding of their evaluation. Given that most studies reviewed lack both empirical data and descriptions of the methods used, future research needs to close these gaps. Validation of the findings by a large panel of experts is suggested as recommendation to work towards a grounded framework.

No MeSH data available.


Related in: MedlinePlus

Results of search strategy
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fg0001: Results of search strategy

Mentions: The electronic search selected 1,298 titles of which 820 abstracts were retrieved for appraisal (Figure 1). This led to exclusion of 737 abstracts, including 154 untraceable articles. Of the remaining 109 publications, 75 articles were excluded because the full-text article was not traceable (n = 39) or the article did not meet the inclusion criteria (n = 36). The final review included 34 studies for analyses [4, 14–46]. Two sessions were held to discuss articles with the referee.


Identification of mechanisms enabling integrated care for patients with chronic diseases: a literature review.

van der Klauw D, Molema H, Grooten L, Vrijhoef H - Int J Integr Care (2014)

Results of search strategy
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4109400&req=5

fg0001: Results of search strategy
Mentions: The electronic search selected 1,298 titles of which 820 abstracts were retrieved for appraisal (Figure 1). This led to exclusion of 737 abstracts, including 154 untraceable articles. Of the remaining 109 publications, 75 articles were excluded because the full-text article was not traceable (n = 39) or the article did not meet the inclusion criteria (n = 36). The final review included 34 studies for analyses [4, 14–46]. Two sessions were held to discuss articles with the referee.

Bottom Line: We categorised approaches and interventions to achieve these objectives by strategy and clusters of 'mechanisms of integration': degree, patient centredness and normative aspects.The clarification of mechanisms to achieve objectives of integrated care as presented may be used as starting point for the development and refinement of integrated care programmes, including methodological grounding of their evaluation.Validation of the findings by a large panel of experts is suggested as recommendation to work towards a grounded framework.

View Article: PubMed Central - HTML - PubMed

Affiliation: TNO, P.O. 3005, 2301 DA Leiden, The Netherlands.

ABSTRACT

Introduction: Notwithstanding care for chronically ill patients requires a shift towards care that is well coordinated and focused on prevention and self-care, the concept of integrated care lacks specificity and clarity. This article presents a literature review to identify mechanisms for achieving integrated care objectives.

Theory and methods: Existing models often present a large variety of dimensions, archetypes and categories of integration without specifying them. Models and programmes describing integrated care for chronic diseases were reviewed. Data were extracted related to objectives and clusters of mechanisms of integration.

Results: Thirty-four studies presented four objectives: functional, organisational, professional and service integration. We categorised approaches and interventions to achieve these objectives by strategy and clusters of 'mechanisms of integration': degree, patient centredness and normative aspects.

Conclusions and discussion: The clarification of mechanisms to achieve objectives of integrated care as presented may be used as starting point for the development and refinement of integrated care programmes, including methodological grounding of their evaluation. Given that most studies reviewed lack both empirical data and descriptions of the methods used, future research needs to close these gaps. Validation of the findings by a large panel of experts is suggested as recommendation to work towards a grounded framework.

No MeSH data available.


Related in: MedlinePlus